271 results about "Sleep disordered breathing" patented technology

Methods and systems involve coordinating therapies used for treating disordered breathing. Disordered breathing therapies may include cardiac electrical stimulation therapy and external respiratory therapy as well as other therapies for treating disordered breathing in a patient. The therapies delivered to the patient may be coordinated to enhance effectiveness of the therapy, to reduce therapy interactions, to improve patient sleep, or to achieve other therapeutic goals.

Methods and systems for evaluating a pathological condition include acquiring movement information, such as electromyogram (EMG) information, and sleep disordered breathing (SDB) information, and detecting the presence of a pathological condition using both movement and SDB information. Methods may involve sensing physiological signals including at least muscle movement signals. Sleep-related disorders are detected using the sensed physiological signals, the sleep-related disorders including at least an involuntary muscle movement disorder and sleep-disordered breathing. Methods and systems also provide for detecting and treating a sleep-related disorder using movement and SDB information. Cardiac, respiratory, nerve stimulation, drug, or a combination of such therapies may be delivered to treat a detected or diagnosed pathological condition.

Therapeutic and diagnostic systems and methods help an individual with a sleep disordered breathing condition, such as habitual snoring or obstructive sleep apnea (OSA), achieve deep, restorative sleep. The systems and methods include component that serve complementary sensing, monitoring, and corrective or diagnostic functions.

A device is disclosed for treating sleep and breathing disorders of a patient, along with the method of using the device. The device includes a processor for receiving sensor inputs, processing the received sensor inputs, and generating commands through output devices. A first sensor is positionable for receiving breathing sound information emitted from one of the mouth and nose of a patient. The second sensor is positionable on a patient for receiving breathing sounds information from a patient's chest cavity. A third sensor is positionable for receiving information relating to the amount of chest expansion of a patient. A first output device is provided that is capable of providing an auditory signal to a patient. A second output device is capable of providing an electrical signal to a muscle group of a patient that simulates a human touching event. The first, second and third sensors, and the first and second output devices are operatively coupled to the processor to permit the processor to receive information input from the sensors, process the input information to the detect the existence of a sleep-breathing disorder event, and to generate command to at least one of the first and second output devices. The command is capable of directing the at least one output device to provide a series of progressively intrusive stimuli designed to condition the patient to terminate the sleep breathing disorder event, and ultimately, return to a more normal sleep pattern.

An apparatus for delivering a flow of breathable gas to a patient for the treatment of Sleep Disordered Breathing (SDB) that is less obtrusive includes a nasal cannula, cannulae (2a, 2b), prongs, or pillows and may be sealed or unsealed with the nares of the patient in use. The cannula, pillows or prongs may be positioned on the face of the patient by a headgear (6). The cannula, pillows or prongs may be smaller, lighter, and / or less visible than other nasal cannula, cannulae, pillows or prongs and may therefore be less obtrusive to the patient.

A mask system for treating sleep disordered breathing, comprising headgear, a shell / cushion including a channel adjacent a front aperture, a frame, an elbow including at least one undercut on a proximal end, a retaining ring including a rear flange adapted to be retainably insertable in the channel of the shell / cushion, and a front flange adapted to retainably engage with the at least one undercut of the elbow.

The present invention relates to a device and method for monitoring for sleep disordered breathing or other types of disordered breathing such as Cheyne-Stokes breathing. More specifically, a device and method for detecting disordered breathing is provided that monitors a physiological parameter, which becomes cyclical due to apnea-hyperpnea (or arousal) alternation and provides the basis for the determination of a number of breathing disorder metrics.

A system to form and store an electrocardiogram (ECG) signal derived from a cardiac electrical signal that includes an apparatus having a pair of the electrodes to connect to a patient to detect the cardiac electrical signal. A signal sampler samples the cardiac electrical signal to form the ECG signal. A data storage device stores the ECG signal. A computer communicates with the data storage device to retrieve the ECG signal for analysis by software stored in the memory of the computer. The software analyzes a morphology of the amplitude of a plurality of R-wave peaks contained within the ECG signal and / or analyzes a morphology of the area of a plurality of QRS complex pulses contained within the ECG signal.

Methods and systems involve monitoring one or more patient conditions using a monitoring device that is fully or partially implantable. Feedback information is developed based on the monitored conditions and is provided to a device delivering therapy to treat sleep disordered breathing. Components of the monitoring device are disposed within an implantable housing that is separate from the housing of the therapy device. The therapy device may comprise a housing that is implantable or patient-external. The feedback information may be used to adjust the sleep disordered breathing therapy.

Methods and systems involve coordinating therapies used for treating disordered breathing. Disordered breathing therapies may include cardiac electrical stimulation therapy and external respiratory therapy as well as other therapies for treating disordered breathing in a patient. The therapies delivered to the patient may be coordinated to enhance effectiveness of the therapy, to reduce therapy interactions, to improve patient sleep, or to achieve other therapeutic goals.

A system and method for delivering a flow of breathing gas to an airway of a patient. The system monitors a characteristic that varies based on variations of the flow of the breathing gas and determines a Target Flow for the gas to be delivered to the patient based on the monitored characteristic. The Target Flow is set to a level sufficient to treat Cheyne-Stokes respiration or a sleep disordered breathing event. The system also alters the Target Flow based on a determination that the patient is experiencing a sleep disordered breathing event. In a further embodiment, the system determines an apnea detection time (Tapnea) as Tinsp plus a constant, and delivers a machine triggered breath if an amount since the start of inspiration reaches Tapnea. Yet another embodiment, monitors the characteristic during an inspiratory phase of a respiratory cycle, and controls the flow of gas during the inspiratory phase of the respiratory cycle based on a result of this comparison.

The present invention provides a diagnostic tool for detection of Cheyne-Stokes Respiration (CSR). This invention also provides a method for development of the diagnostic tool. The method comprises the steps of performing overnight oximetry recordings in patients suspected of sleep disordered breathing. Spectral analysis is performed on the oximetry recordings to obtain a set of parameters which can be used in the construction of a classification tree and a trained neural network. The diagnostic tools of the present invention can be used for classification of a patient as having CSR or obstructive sleep apnea.

A method for relating to each other cardiovascular and sleep disordered breathing conditions of a patient. The patient's heart rate and / or detailed echocardiogram data is monitored and recorded continuously or periodically together with sleep disordered breathing information on similar time scales. Changes in the patient's heart rate associated with changes in sleep disordered breathing can then be observed. More specifically, positive airway pressure at therapeutic levels for treatment of sleep disordered breathing is applied while events associated with the treatment of the patient's sleep disordered breathing are detected and recorded. At the same time, information concerning the cardiovascular condition of the patient is stored and the stored information concerning the cardiovascular condition of the patient and the recorded events associated with the treatment of the patient's sleep disordered breathing are related to each other.

Systems and methods incorporate implant structures, and / or implantation devices, and / or surgical implantation techniques, to make possible the treatment of physiologic conditions, such as sleep disordered breathing, with enhanced effectiveness.

Systems and methods provide for gathering of patient related data during non-sleep periods and modulating a therapy delivered to the patient during sleep using the gathered data. Data associated with a patient is gathered while the patient is awake. A therapy delivered to the patient during patient sleep is adjusted using the acquired data. The therapy delivered to the patient may include one or more of a respiratory therapy, such as a positive airway pressure (xPAP) therapy, a sleep disordered breathing therapy, a cardiac rhythm management therapy, such as a cardiac overdrive pacing therapy, a medication therapy, or a drug delivery therapy. The therapy delivered to the patient may be optimized using the acquired data.

Devices and methods for detecting disordered breathing involve determining that the patient is asleep and sensing one or more signals associated with disordered breathing indicative of sleep-disordered breathing while the patient is asleep. Sleep-disordered breathing is detected using the sensed signals associated with disordered breathing. The sensed signals associated with disordered breathing may also be used to acquire a respiration pattern of one or more respiration cycles. Characteristics of the respiration pattern are determined. The respiration pattern is classified as a disordered breathing episode based on the characteristics of the respiration pattern. One or more processes involved in the detection of disordered breathing are performed using an implantable device.

A therapy system adapted to treat a patient's ventilatory instability using a ventilatory therapy, a gas modulation therapy, or both. The algorithm implemented by the therapy system monitors the ventilatory instability, such as Cheyne Stokes Respiration (CSR), mixed apneas, CPAP emergent apneas, and complex sleep disordered breathing (CSDB) and treats the ventilatory instability. The algorithm also determine a reference point with respect to the ventilatory instability. The therapy delivery system initiate the treatment based on the reference point.

The invention is directed to a system for acquiring electrical footprint of the heart, electrocardiogram (EKG or ECG), heart sound, heart rate, nasal airflow and pulse oximetry incorporated into a mobile device accessory. The ECG and heart sound signals are conveniently acquired and transmitted to a server via the mobile device, offering accurate heart failure analysis, and sleep disorder breathing indication.

The present invention relates to a mask system for the treatment of sleep-disordered breathing comprising a headgear (20), a shell / cushion (30) having a channel (524) adjacent to the front aperture (30.3), a frame (40), a An elbow (50) with at least one undercut (50.2) and a clasp (60) with a rear flange (64) and a front flange (66) for is retainably inserted in the channel (524) of the shell / liner (30), and the front flange (66) is adapted to retainably engage at least one undercut (50.2) of the elbow (50).

Methods and systems involve monitoring one or more patient conditions using a monitoring device that is fully or partially implantable. Feedback information is developed based on the monitored conditions and is provided to a device delivering therapy to treat sleep disordered breathing. Components of the monitoring device are disposed within an implantable housing that is separate from the housing of the therapy device. The therapy device may comprise a housing that is implantable or patient-external. The feedback information may be used to adjust the sleep disordered breathing therapy.

Planning for and / or assessment of an ablation procedure on one or both carotid bodies or carotid body chemoreceptors or carotid body nerves to treat patients having a sympathetically mediated cardiac, metabolic, and pulmonary disease (e.g. hypertension, CHF, diabetes, sleep disordered breathing) resulting from peripheral chemoreceptor hypersensitivity, carotid body hyperactivity, high carotid body afferent nerve signaling or heightened sympathetic activation.

A sleep disordered breathing alert system includes an implantable device configured to detect sleep disordered breathing in a patient. If the patient experiences disordered breathing during sleep, the implantable device transmits a signal to a patient-external device. The patient-external device receives the signal and generates an alert responsive to the detection of the sleep disordered breathing. The alert may be a vibration, an audible alert, a visual display, or other indicator.

Devices, systems, and methods are provided by maintaining tissue regions in desired orientation in or along an airway, e.g., for reducing or preventing snoring and / or sleep disordered breathing events, such as sleep apnea.

A method of operating a device for treating sleep disordered breathing (SDB), wherein the device provides continuous positive airway pressure during sleep, includes applying a treatment pressure to a patient, monitoring the patient for speech output, generating a signal in response to detected speech of the patient, and, in response to the signal, reducing the treatment pressure applied to the patient.